# DANIEL SHALEV, DDS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639730385
- **Authorized official:** DANIEL SHALEV DDS (OWNER)
- **Authorized official phone:** (702) 263-2000

## Contact information

- **Practice address:** 2510 WIGWAM PKWY STE 200, HENDERSON, NV 89074-7116
- **Practice address phone:** (702) 263-2000
- **Practice address fax:** (702) 263-3036
- **Mailing address:** 2510 WIGWAM PKWY STE 200, HENDERSON, NV 89074-7116
- **Mailing address phone:** (702) 263-2000
- **Mailing address fax:** (702) 263-3036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 06/24/2019